Prospective, Randomized, Controlled Trial Comparing a New Two-Component Compression System with Inelastic Multicomponent Compression Bandages in the Treatment of Leg Lymphedema
Identifieur interne : 005429 ( Main/Exploration ); précédent : 005428; suivant : 005430Prospective, Randomized, Controlled Trial Comparing a New Two-Component Compression System with Inelastic Multicomponent Compression Bandages in the Treatment of Leg Lymphedema
Auteurs : D-A. A. Lamprou [Pays-Bas] ; Robert J. Damstra [Pays-Bas] ; Hugo Partsch [Autriche]Source :
- Dermatologic surgery [ 1076-0512 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
BACKGROUND New, less-bulky, short-stretch compression bandages could be a valuable alternative in the management of lymphedema of the leg. OBJECTIVE To compare the effectiveness of a two-component compression (2CC) system in the treatment of leg lymphedema with that of the traditional treatment with conventional inelastic multicomponent compression bandages (IMC). METHODS Thirty hospitalized patients with moderate to severe unilateral lymphedema (stage II-III) of the leg were included. Patients were divided in two groups; one (n = 15) received a 2CC, and the other (n= 15) received IMC. Primary outcome was volume reduction of the affected leg; secondary outcome was loss of interface pressure. RESULTS Median leg volumes before bandaging were 4,150 mL (2CC) and 4,360 mL (IMC). Median volume reduction after 2 hours was 120 mL (2.9%) with the 2CC system and 80 mL (1.8%) with IMC (p>.05). After 24 hours, volume reduction was 8.4% and 4.4% respectively (p>.05). Interface pressure dropped significantly within 2 hours of bandage application in both groups. CONCLUSION Our results indicate that the 2CC system forms a suitable alternative to IMC in the conventional treatment of moderate to severe lymphedema.
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Damstra</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology, and Lymphology Nij Smellinghe Hospital</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Private Practice</s1><s2>Vienna</s2><s3>AUT</s3><sZ>3 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0334891</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0334891 INIST</idno><idno type="RBID">Pascal:11-0334891</idno><idno type="wicri:Area/PascalFrancis/Corpus">000161</idno><idno type="wicri:Area/PascalFrancis/Curation">000797</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000147</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000147</idno><idno type="wicri:doubleKey">1076-0512:2011:Lamprou D:prospective:randomized:controlled</idno><idno type="wicri:Area/Main/Merge">005469</idno><idno type="wicri:Area/Main/Curation">005429</idno><idno type="wicri:Area/Main/Exploration">005429</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Prospective, Randomized, Controlled Trial Comparing a New Two-Component Compression System with Inelastic Multicomponent Compression Bandages in the Treatment of Leg Lymphedema</title><author><name sortKey="Lamprou, D A A" sort="Lamprou, D A A" uniqKey="Lamprou D" first="D-A. A." last="Lamprou">D-A. A. Lamprou</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology, and Lymphology Nij Smellinghe Hospital</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Damstra, Robert J" sort="Damstra, Robert J" uniqKey="Damstra R" first="Robert J." last="Damstra">Robert J. Damstra</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Dermatology, Phlebology, and Lymphology Nij Smellinghe Hospital</s1><s2>Drachten</s2><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Private Practice</s1><s2>Vienna</s2><s3>AUT</s3><sZ>3 aut.</sZ></inist:fA14><country>Autriche</country><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Dermatologic surgery</title><title level="j" type="abbreviated">Dermatol. surg.</title><idno type="ISSN">1076-0512</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Dermatologic surgery</title><title level="j" type="abbreviated">Dermatol. surg.</title><idno type="ISSN">1076-0512</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bandage</term><term>Comparative study</term><term>Compression</term><term>Dermatology</term><term>Leg</term><term>Lymphedema</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Traitement</term><term>Chirurgie</term><term>Etude comparative</term><term>Compression</term><term>Bandage</term><term>Jambe</term><term>Dermatologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND New, less-bulky, short-stretch compression bandages could be a valuable alternative in the management of lymphedema of the leg. OBJECTIVE To compare the effectiveness of a two-component compression (2CC) system in the treatment of leg lymphedema with that of the traditional treatment with conventional inelastic multicomponent compression bandages (IMC). METHODS Thirty hospitalized patients with moderate to severe unilateral lymphedema (stage II-III) of the leg were included. Patients were divided in two groups; one (n = 15) received a 2CC, and the other (n= 15) received IMC. Primary outcome was volume reduction of the affected leg; secondary outcome was loss of interface pressure. RESULTS Median leg volumes before bandaging were 4,150 mL (2CC) and 4,360 mL (IMC). Median volume reduction after 2 hours was 120 mL (2.9%) with the 2CC system and 80 mL (1.8%) with IMC (p>.05). After 24 hours, volume reduction was 8.4% and 4.4% respectively (p>.05). Interface pressure dropped significantly within 2 hours of bandage application in both groups. CONCLUSION Our results indicate that the 2CC system forms a suitable alternative to IMC in the conventional treatment of moderate to severe lymphedema.</div></front></TEI><affiliations><list><country><li>Autriche</li><li>Pays-Bas</li></country><region><li>Vienne (Autriche)</li></region><settlement><li>Vienne (Autriche)</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Lamprou, D A A" sort="Lamprou, D A A" uniqKey="Lamprou D" first="D-A. A." last="Lamprou">D-A. A. Lamprou</name></noRegion><name sortKey="Damstra, Robert J" sort="Damstra, Robert J" uniqKey="Damstra R" first="Robert J." last="Damstra">Robert J. Damstra</name></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Partsch, Hugo" sort="Partsch, Hugo" uniqKey="Partsch H" first="Hugo" last="Partsch">Hugo Partsch</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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